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1831712728
CORY MICKELSON
SHERMAN, TX
NPI
1831712728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1243372)
Enumeration Date
2020-05-26
Last Update Date
2020-05-26
Business Address
CORY MICKELSON
2001 N LOY LAKE RD STE J
SHERMAN, TX 75090-2837
Phone number: 903-487-5520
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Mailing Address
CORY MICKELSON
PO BOX 1466
POTTSBORO, TX 75076-1466
Phone number:
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